Application of thrombosis prevention exercises combined with early warning graded management in elderly patients with hip fractures
Objective To explore the application effectiveness of thrombosis prevention exercises combined with early warn-ing graded management in elderly patients with hip fractures,with the aim of providing evidence for clinical treatment.Methods This study included 200 elderly patients with hip fractures admitted to the First People's Hospital of Longquanyi District,Chengdu,from January 2020 to June 2023 as subjects.Patients were randomly allocated to an observation group and a control group,with 100 cases in each group.The control group received routine health care interventions,while the observation group received thrombosis prevention exercises combined with early warning graded management on top of the interventions given to the control group.The levels of health belief regarding deep vein thrombosis(DVT),platelet count(PLT),mean platelet volume(MPV),platelet distribution width(PDW),activated partial thromboplastin time(APTT),prothrombin time(PT),and fibrinogen(Fbg)levels were compared between the two groups before the intervention and at discharge.The incidence of DVT during hospitalization and the degree of satisfaction with nursing at discharge were also compared.Results At discharge,the scores of disease susceptibility,disease severity,benefits of health behavior,and self-efficacy in the DVT health belief were higher in both groups than before the intervention,and higher in the observation group compared to the control group,with statistically significant differences(P<0.05).No statistically significant differ-ence was observed in the incidence of DVT between the two groups(P>0.05).At discharge,the MPV and PDW in both groups were lower than before the intervention,and lower in the observation group compared to the control group,with sta-tistically significant differences(P<0.05).No statistically significant difference was found in PLT between the two groups(P>0.05).At discharge,the APTT and PT were longer in both groups than before the intervention,and longer in the ob-servation group compared to the control group,with statistically significant differences(P<0.05).At discharge,the Fbg levels in both groups were significantly lower than before the intervention,and significantly lower in the observation group compared to the control group(P<0.05).The degree of satisfaction with nursing in the observation group was significantly higher than that in the control group(96.00% vs.87.00%;P<0.05).Conclusion Implementing thrombosis prevention exercises combined with early warning graded management can promote the health beliefs of elderly patients with hip frac-tures,prevent the increase of DVT risk,strengthen platelet function,correct the body's coagulation status,and increase pa-tient satisfaction with the nursing process.This method holds promise for promotion in clinical practice.
Thrombosis prevention exercisesEarly warning graded managementElderly hip fracturesBedriddenDeep vein thrombosis